Prenatal diagnosis of persistent cloaca associated with VATER (vertebral defects, anal atresia
, tracheo-esophageal fistula, and renal dysplasia).
The combination of all the clinico-radiographic findings made VACTERL association (VA) (Vertebral anomalies, Anal atresia
, Cardiac defects, Tracheoesophageal fistula and/or Esophageal atresia, Renal anomalies and Limb defects) the most likely diagnosis.
We report a case of sirenomelia who had a single umblical artery, renal agenesis, pulmoner hypoplasia, esophageal atresia, ventricular septal defect, anal atresia
, intestinal atresia and who was lost at fifth hour of life.
Congenital lacrimal fistula can be associated with other abnormalities, such as preauricular fistula, hypospadias, and VACTERL association (vertebral abnormalities, anal atresia
, cardiac malformations, tracheoesophageal fistula, renal abnormalities, and limb abnormalities).
About half of infants with esophageal atresia have other associated anomalies grouped under the acronym of VACTERL (vertebral defects, anal atresia
, cardiac anomalies, trachoesophageal fistula, radial defects, renal, and limb anomalies), mandating a careful fetal survey for additional anomalies.
Five patients had Down syndrome and one patient had VATER (vertebral defects, anal atresia
, tracheoesophageal fistula and radial-renal dysplasia) association, while four children were described as babies with undefined syndromes.
Rheumatol 2009;36:635-41) with VACTERL anomalies, which include vertebral anomalies, anal atresia
, cardiac defects, tracheoesophageal fistula, renal anomalies, and limb abnormalities.